Same Day Dental Implants, Tacoma

The most life-like way to replace bad or missing teeth with dental implants.

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

About All-On-4 Implants

Results and Testimonials

Explore All-On-4 Cost

Frequently Asked Questions

What are “Teeth in a Day” Implants?

The All-On-4, “Teeth in a Day” procedure allows most patients to get all remaining teeth removed, dental implants inserted, and a gorgeous, permanent, functional smile delivered over the course of a single day! This procedure has the ability to not only give patients a gorgeous smile, but also provide a fresh outlook on life. We see countless patients suffering with extensive decay, failing or old dental work, or broken teeth. For them, All-On-4, “Teeth in a Day” can be the perfect solution to have a new smile and correct the dental problems of the past.


  • Best aesthetics/looks | Looks and feels the most like natural teeth.
  • Permanent | Doesn’t move in and out of the mouth like a denture.
  • No long recovery times before you can use your dental implants.
  • Does not cover the roof of your mouth!
  • Best chewing ability of all full mouth/full arch teeth replacement choices.
  • Requires the least amount of bone | Fantastic for patients who have been told they don’t have enough bone for implants.
  • Taste your food better!

How All-On-4 Dental Implants Work

The procedure includes removing any remaining teeth, placing 4-6 implants per arch, and affixing a low-profile bridge to those implants. The implants are typically added at specific angles to avoid the patient’s sinuses. This also eliminates the need for expensive bone grafting with lengthy recovery times.

The classical All-On-4 technique involves four implants and acrylic denture teeth over a titanium frame. Our doctor has modified this procedure based on experience and knowledge to offer an even better outcome for our patients. At Tacoma Dentures and Implants, we meticulously analyze every single case and base our treatment plan on each individual patient’s anatomy. Your doctor will place between four and six implants per arch and temporary fixed bridges will be placed while your implants fuse with the jawbones and your mouth heals. After the healing is complete, the doctor and lab technician will design your permanent teeth with zirconia, which is much stronger than the conventional acrylic (plastic) denture teeth used by most other dental implant offices. Zirconia also offers a more realistic, life-like end result and is more hygienic and resistant to discoloration. This means they will look better and last longer than the acrylic/titanium hybrid bridges common at competing dental implant practices.

Am I a Candidate?

Most people will be a candidate for this procedure. Your doctor will use a combination of straight and angled implants to avoid your sinuses and engage the strongest bone. Using this technique typically removes the need for expensive and lengthy sinus augmentation bone grafts.

Our doctor will perform a detailed evaluation during your free consultation to see if All-On-4, “Teeth in a Day” is an option for you.

Life-Changing Results

Same-day smiles from actual patients

All-On-4 Dental Implant Cost

Our pricing includes all extractions, as many implants as needed, fixed temporary teeth, and fixed permanent teeth.


Our pricing is the best in Tacoma while also offering the best end result. We are able to achieve this by having a highly trained dentist who does the entire procedure from beginning to end along with an experienced in-house dental lab technician. They have performed this procedure from beginning to end together more times than they can count.


For the final teeth, you, the dentist, and our in-house lab technician will design your perfect smile together. While other offices still use acrylic denture teeth over titanium bars, we use zirconia for the best in durability, appearance, and resistance to staining. Upgrading to zirconia often costs much more at other offices. At Tacoma Dentures and Implants, they’re our standard.

Single Arch

Upper or Lower


Zirconia Final Bridge

Both Arches

Full Mouth


Zirconia Final Bridge

Available Payment & Financing Options

Dental implants are an important investment in yourself, and being able to break this investment down into monthly payments can help make these life-changing services more obtainable and easier to fit into your budget. We work with multiple financing providers to offer payment plans to cover either all or part of your dental implant treatment.

Longer-term options for lower payments (up to 96 months)

Interest-free up to 6 months

Longer-term options for lower payments (up to 60 months)

Option to apply with a co-applicant increases chance of approval

Frequently Asked Questions

Can I eat with my new teeth immediately?

Yes! However, although your implants and teeth are securely in place immediately, we do request that you keep up a soft foods diet during the four month healing timeframe. So what do we mean? A good general rule is that you can eat anything that can be can cut with a plastic fork. We ask this because you are investing into something that could last you decades, even the rest of your life, and maintaining a soft food diet during the healing period will allow the best possible integration of your implants into the bone and help establish a great outcome long-term.

How long has this procedure been around?

This transformative procedure was created by Portuguese dentist Paolo Malo in the 1990s. Since that time, this procedure has safely been performed on hundreds of thousands of patients and has been improved upon to what you see today.

How do I take care of my dental implants?

Taking care of your new teeth is very easy, however consistency is key. Similar to how we’re supposed to routinely floss and brush natural teeth, you need do this with the new teeth and implants. A few minutes a day is all you will need to keep your implants and mouth healthy. Regularly brushing your bridges with a soft tooth brush and cleaning beneath them with a water flosser (WaterPik is a well-known and popular brand) a few times a day is all it takes.

Cigarette smoking can increase the risk of implant complications, so we do not recommend smoking with dental implants. Patients with diabetes should also be made aware of an increased risk for problems with dental implants. Controlling your diabetes is paramount for the long-term success of your implants.

Other than that, regularly follow through with your doctor consistently during the year for quick evaluations of your new implant teeth.

What do the new implant teeth feel like?

Your new implant teeth will bring a new sensation and will take several days or sometimes a few weeks to become accustomed to.

Is there a lot of pain involved in this procedure?

Although you can expect moderate pain, it is similar to the pain common with standard teeth extractions. We use a combination of medications to help control the pain and keep you as comfortable as we can.

Will there be pain after this procedure?

While experiences will vary some, most patients can expect some soreness and possibly swelling afterwards. Many patients come in the next day for their follow-up exam reporting minimal pain. All patients are prescribed medication for pain to help reduce any discomfort. Also, if you are a candidate for it, the doctor will give you a steroid injection which will: help reduce swelling and pain for the first days of recovery.

What recovery time can I expect with All-on-4 dental implants?

Experiences will vary from person to person, but, generally speaking, the recovery period is faster and easier with this procedure than other full arch or full mouth replacement alternatives. This is mostly due to the bridges being attached directly to the bone via the implants. Conventional dentures and implant dentures both require recovery periods during which time the dentures are able to move and lead to sore spots. Generally, pain should subside mostly within 1-2 weeks, with full healing commonly after 6 months.

What is the difference between your practice vs. a general dental practice offering a wide scope of dental services?

We limit our practice to dental prosthetics and implants. Dental implants, and especially "teeth-in-a-day," are our passion, and our team is continually working to ensure our patients get the best possible results. Many offices will refer you to multiple providers, use outside labs, and have confusing pricing. They will take several months or even years to complete the procedure all the while charging you up to double our price. Your dental surgeon will perform the entire procedure from surgery to final teeth. We provide an in-house dental lab and experienced lab technician, along with affordable and transparent pricing. By offering all these services at one location, we are able to deliver a premium service at an affordable price.

What is the difference between Tacoma Dentures and Implants and corporate implant centers?

Tacoma Dentures and Implants has the same advantages of the national implant offices by focusing our practice on dental implants and prosthetics. Our office has an on-site dental prosthetic lab, very competitive pricing, and offer teeth the same day. However, we are privately owned, and every single patient will be seen by our doctor. We focus on the happiness of our patients instead of shareholders, sales quotas, and cost cutting. With corporate dental implant centers, there is no guarantee that you'll be seen by the same dentist that has the great online reviews or whom you were recommended to see. Our doctor oversees your procedure from beginning to end and our team will do everything we can to make sure you are thrilled with your new teeth and take care of you like family.

How does this compare to snap in dentures or mini dental implants?

Mini dental implants are not related to what we do at Columbus Dentures and Implants for our All-On-4 "teeth-in-a-day " procedure. Please proceed cautiously at any office recommending mini dental implants as a permanent restoration solution. They have a very high failure and complication rate.

Snap-in implant dentures, on the other hand, can be a great option for some patients. Our office also provides this option and have an entire page dedicated to snap-in dentures if you want to learn more. These can be a more economical alternative to All-On-4 "teeth-in-a-day" dental implants.

How often should I have my new teeth professionally cleaned?

Plan to (visit us every six months to have your implants checked and cleaned. Doing this will help ensure the longevity of your new teeth and implants.

Can dental implants fail?

Although titanium dental implants do have a 95+% success rate, yes, they can still fail. Some of the things that may cause them to fail:

  • Failure to bond to the bone
  • Tobacco use
  • Diabetes

If an implant fails during the first year, our dentist will replace it for free.

Why am I salivating (drooling) so much?

Excess saliva is perfectly normal when you first have an implant placed in your mouth. Your body senses it as foreign material and is working to “flush” it out. The increased salivation should subside within 2-3 days.

Can I be put under for my procedure?

Our office does not currently put patients to sleep, we do, however, provide both oral & IV conscious sedatives. Click here to learn more about your options. The medicine will help to relax you and typically makes it so you won't remember your procedure. For this, the doctor writes you a prescription, and you can pick it up at your pharmacy of choice. NOTE: You MUST have a driver to and from for your procedure, because of the sedation medication. You MUST NOT operate a motor vehicle or any machinery after taking your medication.

Are All-On-4 bridges always attached to the implants the day of the procedure?

In most cases these will be attached immediately. In certain cases, mostly dependent on the quality of your bone and volume, we would be unable to install your bridge(s) the same day and you'll need to wear an interim healing denture while your implants fuse to the bone. Your doctor will review this thoroughly at your examination.

How long can I expect to bleed after surgery?

Significant bleeding will stop before you leave the clinic, however, you can expect to have some slight bleeding (oozing) for a few days after your procedure. In addition, you will most likely see increased salivation when we first put your temporary teeth in. When this increased saliva mixes with a small amount of blood, it can look like a lot of blood. If heavy bleeding continues, please call our office.

Will I automatically know how to use my prosthetic teeth immediately?

Just like you would need practice in order to get used to functioning with a prosthetic leg, it will need some patience and practice to become accustomed with your prosthetic teeth. With that being said, since these are rigidly attached to your jaw, All-On-4 dental implants will be the easiest to get used to of all the full-arch replacement options.

Will I know how to talk with my new teeth right away?

Again, this will take some time, but with a little practice and patience, your tongue and mouth will adjust quickly. "S’s" will be the toughest to pronounce. Practicing saying words like "stupendous" and "Mississippi" will help you get accustomed to your prosthetic teeth. In a few cases, patients may have a slight lisp long-term with All-On-4 upper teeth.

How long after my procedure do I need to wait to use a Waterpik or water flosser?

Patients should expect to wait six weeks after the procedure before you begin cleaning with your water flosser.

Am I too young for this procedure?

No, this is not only for senior citizens. It’s actually very common for people in their 40s, 30s, and even 20s to need their teeth replaced. Replacing bad teeth can be very beneficial to your overall health, and having the ability to speak, smile, and laugh confidently with teeth you can be of can benefit your psychological health.

What items should I have ready ahead of the procedure?

  • Ice packs

  • Wash cloths you wouldn't mind throwing away


  • Comfortable clothes you wouldn't mind throwing away


  • Soft foods (see list above)

What will my replacement teeth be made of?

The final bridge is made from zirconia. Zirconia is much stronger and more resistant to staining and wear than conventional acrylic All-On-4 implants which other offices provide. If you choose another provider, make sure you know what kind of material they will be using. If you do decide on acrylic denture teeth with a titanium bar at a different office, you can expect to see staining around your teeth and to replace them every five to ten years. Also, make sure you understand how much you are going to pay for the operation, temporary teeth, and final new teeth. Many offices will charge you a surgery/temporary fee only for you to find out you owe an extra five to fifteen thousand dollars for your final teeth.

How much can I expect to pay for the All-On-4, "Teeth in a Day" procedure?

The total cost for a single arch (upper or lower) is $19,900. For both arches, the total cost will be $39,000. These prices include the removal of any remaining teeth, placing your implants, same day fixed temporary teeth, and your fixed permanent zirconia teeth. Other providers may charge an operation fee, temporary fee, and then surprise you afterward with another fee for your permanent teeth. Our pricing is fully transparent, and we will never surprise you with any additional fees.

How can I get fixed teeth in only one day? I thought the implants needed to heal first?

What is unique about this procedure, and what lets us attach teeth your implants immediately, is that all of the implants will be rigidly splinted together by the new teeth (the implant bridge). Splinting them together prevents the micro-movement of the dental implants that can lead to early failure. Basically, your implants and dental bridge all support each other.

Your dental implants are made of titanium, the same metal used in artificial hip and knee joints, so your jawbone will naturally grow around and attach to them over time.

What if a different provider has said that I am not a candidate for this or do not have enough bone for dental implants?

The majority of patients who have been told they aren't candidates for dental implants are actually great candidates for the All-On-4 procedure. The combination of utilizing angled implants and using the front of the jaw where the bone is denser lets us perform the procedure for many patients who thought implants were not an option. Our team can usually perform this procedure without the need for expensive grafting that delays treatment by months or years. Please come see us for a free consultation to see if you are a candidate.

Can the extractions, implants, and fixed teeth really be completed in the same day?

Yes! Completing all steps in the same day is our preferred way of performing this procedure to support an ideal final result. With the leading dental implants and materials available today, there is usually no reason for you to wait months or even years to complete the process like patients experienced in the past.

Is your doctor a specialist such as a peridontist, oral surgeon, or prosthodontist?

No, our doctor is a general dentist who limits their practice to prosthetics and dental implantology. This area of expertise is their passion, and they have more experience placing dental implants than most specialists and other general dentists. In limited select cases, they will collaborate with other dental specialists to ensure that their patients receive the best possible treatment for their specific situation.

How do you provide the All-On-4, "Teeth in a Day" dental implant procedure for far less than other offices in the area?

Because of the high number of these procedures we perform and limiting our practice to these procedures, we have advantages that other practices do not have. We have our in-house lab and lab technician along with a single dentist that performs the entire procedure. These efficiencies allows us to offer these procedures for our patients at the most competitive pricing available. Not only do we have the lowest prices, we also use the best quality dental implants and materials.

Are payment plans available?

Yes. Our practice offers a variety of payment plans including third party financing. We work with our patients in any way possible to get them smiling again.

Click here for financing options.

Do you offer guarantees or warranties?

If a dental implant fails to integrate we will replace it at no cost. Our office warranties the final dental bridge for 5 years. To keep this warranty, patients must return to the office every 6 months for maintenance and hygiene of their bridges and implants. This warranty does not apply to patients that continue to use nicotine products or have uncontrolled diabetes or develop other uncontrolled systemic conditions which compromise their implants.

How long will the procedure take?

Usually the surgery is about 1 hour per arch. Then, the lab portion of making your teeth takes another 2 hours. If we start in the morning, for a single upper or lower arch, patients are usually done by lunch time. If we are replacing both top and bottom teeth, we usually finish closer to 2:30 to 3:30 in the afternoon. Most of this time is waiting for your teeth to be created in our lab and trying them in to ensure your smile is exactly how you want it. It is a long day, but will definitely be worth it in the end!

What if I don’t like my new teeth?

Our team does everything possible to ensure you're thrilled with your new teeth. The teeth you get the day of surgery are only a temporary/transitional set. When we fabricate your final teeth, you will have full control of the design and appearance of your smile.

What about out of town dentists in Florida, Las Vegas, etc. offering same day final teeth?

While this is a good service for many patients, in the rare case of complications or broken teeth, it is very difficult to deal with if you traveled thousands of miles away or out of the country. Most local practices will not be willing to repair another practice's work. A major advantage of having a temporary set of fixed teeth on the day of your surgery is that you get to test them out and see what you like and don't like. For the final zirconia or nano-ceramic teeth, we can offer try-ins to ensure that your teeth look exactly the way you want them to look. While it’s great to get your final teeth immediately, it can come with some significant drawbacks which cannot be ignored.

Do All-On-4 teeth rock (side to side, front to back)?

No, they are firmly attached to your dental implants, which are firmly anchored to your jaw. If your All-On-4 teeth begin moving for any reason, call us so we can bring you in for an exam.

Why do you call this procedure "teeth in a day" when I won’t receive my final teeth until 4-6 months after the procedure?

This is referred to as "teeth in a day" because you will receive a set of implant-supported working prosthetic temporary teeth in one day. As there can often significant changes in your mouth during the healing and implant integration phase, it is best to begin with a transitional set of teeth. This helps ensure the best long-term outcome with your final teeth.

Can my temporary teeth be damaged?

Yes, your temporary teeth are made of acrylic and can crack, chip, and sometimes break. This can be quite common. The great thing about the acrylic temporary is that it can easily be repaired. If you have any issues with the temporary, just give us a call and we’ll get it repaired right away.

Can my permanent teeth be damaged?

While it is possible for zirconia and nano-ceramic to be damaged, it’s very rare. Zirconia and nano-ceramic are among the strongest and most durable materials available in dentistry.

I already have a dental implant (or implants), can they be used for All-On-4?

Unfortunately, not. As your current dental implants will not be the proper position required by this procedure, and since bone reduction will need to be performed, we cannot use your existing implants and they will most likely need to be removed.

Are my All-On-4 bridges removable?

No, you cannot remove these yourself. Only the dentist is able to remove them. They are secured to your implants.

Can food get under my All-On-4 bridge(s)?

Yes, any prosthetic in the mouth will get some amount of food under it. You can rinse with water to get food out from under your bridge(s), and cleaning every day with a water flosser will be part of your long-term hygiene regimen.

How much time should I take off work for recovery after surgery?

Of all full arch replacement options, All-On-4 often has the shortest time required to recover. Generally 4-7 days is enough. That being said, since there is always the chance of bruising and swelling, and you’ll need to get used to speaking and eating with your new teeth, the more time you can take off, the better.

All-On-4 Procedure


The procedure itself typically takes 4-6 hours depending on whether you are having a single arch treated (upper or lower) or both arches (full mouth). When you leave our office, your temporary bridge(s) will be securely attached to your new implants. You will wear your temporary bridge(s) for 4 months to allow time for your implants to integrate with your bone and for your jaws and gums to heal into a stable, long-term position before we fabricate your final bridge(s). Allowing this healing time ensures the closest possible fit for your final bridges. After this healing time, we will begin fabricating your final bridge(s). This involves a few appointments over a 5-6 week period, during which time you’ll help us design the smile you want for your permanent teeth.


Mouth Impressions

The lab uses these to make your temporary implant bridge(s). Possible wax try-in – if you are missing all or most of the teeth in the arch that we will be treating, the doctor may suggest a wax try-in. This is a mock up of what your temporary implant bridge and will be used to check bite position, aesthetics, etc.



Remove any teeth (if applicable), place implants, place temporary implant bridge(s). The procedure typically takes anywhere from 4-7 hours.


Post Op #1

Day after procedure | Check healing and answer any questions you may have.


Post Op #2

3 weeks after procedure | Remove sutures, check healing, patient typically cleared to begin using water flosser/WaterPik at this appointment.


Impressions for Final Teeth

4 months after procedure


Try In

5-10 Days After Impressions | We will try in a mock-up of your final teeth. Multiple wax try-ins are needed in some cases. We have to make sure you are completely happy with your wax try-ins before processing them. Once they are processed, we are unable to make changes to them. If you wish to make changes to your bridge(s) after you have approved them and they have been fabricated, there will be a full-cost remake charge.


Seat Final Teeth

After you approve your wax try-in(s), it typically takes 4-6 weeks before your bridge or bridges are ready to seat.

1530 S Union Ave, Suite 7-8, Tacoma, WA 98405


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